Dr. Christopher Kelley Mcgraw
Family Doctor Neuromusculoskeletal Medicine (NMM) Emergency Medical Services Family Doctor - Sports Medicine and 1 more
600 Main Ave S
Baudette
, Minnesota 56623-2855
Dr. Christopher Kelley Mcgraw
Family Doctor Neuromusculoskeletal Medicine (NMM) Emergency Medical Services Family Doctor - Sports Medicine and 1 more
600 Main Ave S
Baudette
, Minnesota 56623-2855
(218) 634-1610
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Emergency Medical Services
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Christopher Kelley Mcgraw
- 600 Main Ave S
- Baudette, MN
- Zip : 56623-2855
- Fax : (218) 634-1610
- Phone : (218) 634-1655
Second Address
- Dr. Christopher Kelley Mcgraw
- 600 Main Ave S
- Baudette, MN
- Zip : 56623-2855
- Fax : (218) 634-1610
- Phone : (218) 634-1655
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 49335 | MN |
| N | 207PE0004X | Emergency Medical Services | 49335 | MN |
| Y | 207Q00000X | Family Doctor | 49335 | MN |
| N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 49335 | MN |
| N | 207QS0010X | Family Doctor - Sports Medicine | 49335 | MN |
National Provider Identifier
| NPI | 1730178617 |
|---|---|
| Provider Name | Dr. Christopher Kelley Mcgraw |
| First Address | Baudette, MN 56623-2855 |
| Second Address | Baudette, MN 56623-2855 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2005 |
| Last Update Date | 23/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 948198000 | MN MEDICAL ASSISTANCE (01) | MN |
| I68550 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.